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ISM (Intisari Sains Medis) : Jurnal Kedokteran

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Published by Universitas Udayana

ISSN : 25033638 EISSN : - DOI : -

Core Subject : Health, Science,

Biochemistry, Genetics & Molecular Biology Medicine & Pharmacology

Intisari Sains Medis is published by Medical Scientific Community, Indonesia. Intisari Sains Medis is an international, multidisciplinary, peer-reviewed, open access journal accepts papers for publication in all aspects of Science Digest, Medical Research Development, Research Medical Field and Theory. We also publish cases from third world country, that is considered very rare and special cases.

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Articles 1,063 Documents

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Gambaran riwayat kejadian diare pada balita dan pelaksanaan PHBS dalam tatanan rumah tangga di Desa Gegelang Kecamatan Manggis tahun 2013 Dewa Agung Istri Sintha Prajnyaswari; Wayan Citra Wulan Sucipta Putri
Intisari Sains Medis Vol. 9 No. 1 (2018): (Available online: 1 April 2018)
Publisher : DiscoverSys Inc.

Diarrhea is the second leading cause of death in infants. As one of the disease-based environment, the availability of clean water, sanitation and hygiene is one of the key actors in the incidence of diarrhea. As one of the efforts to improve sanitation and hygiene, health center movement Manggis I community health center develops behaviors of live clean and healthy (PHBS) at the family level. The lowest percentage of households classified by PHBS located in the Gegelang Village which amount is 46%. Among the 10 points PHBS, the cause of diarrhea in infants can be sourced history of exclusive breastfeeding, use of unclean water, the habit of not washing hands with soap and clean water, and does not have healthy latrines. This study was a descriptive cross-sectional study involving seventy-five respondents, i.e. mothers with under five children (12-60 months) in Hamlet Gegelang, Kalanganyar, and Pakel, Gegelang Village. Sampling technique is done by using accidental sampling method. Data collection was conducted using a questionnaire. In this research is found only 13 of 75 (17.3%) of respondents said that the children did not have diarrhea in the last 1 year. A total of 53 respondents (70.7%) said that they did not give exclusive breastfeeding to her child. All respondents had access to clean water, but only 32 of 75 (42.7%) of respondents who process a clean water with appropriate way before drunk. Good hand washing habits only depicted in 30 of 75 (40%) of respondents. Latrine ownership were vary from having latrine with standards compliant (38.7%), have latrine but do not fit to standards-compliant (25.3%), and did not have latrine (36.0%). Conclusion of cross-tabulations showed a trend increase in the number history of diarrhea in under five children on the implementation of PHBS that do not fit to health standards.

Efektifitas tulisan dan gambar peringatan kesehatan pada produk rokok terhadap kesadaran merokok di Kabupaten Badung, Bali-2015 I Nyoman Gede Suyasa; Desak Gde Diah Dharma Santhi
Intisari Sains Medis Vol. 9 No. 1 (2018): (Available online: 1 April 2018)
Publisher : DiscoverSys Inc.

Starting in June 2014 tobacco products circulating in Indonesia must be accompanied by pictures and written health warnings. Pictorial warnings can raise public awareness about the impact of smoking, and advocates people to stop smoking. The research objective is to analyze changes in the awareness of smokers after the Ministry of Health policy writing and picture health warnings on the pack of cigarettes. This is an observational study with sample of the population of smokers in Badung. The sample size is 100 people. Sampling is using cluster sampling method, the number of clusters as many as 10 clusters and each cluster includes 10 respondents, 10 clusters selected by PPS. Primary data collection techniques and awareness about the characteristics of smokers using a questionnaire by the officer. Analysis of data using statistical multivariance. The results of the research article health warnings on a cigarette can alter consciousness quit smoking the next 12 months amounted to 74.2% of smokers. Picture health warnings on a cigarette can alter the consciousness of quit smoking the next 12 months amounted to 91.2% of smokers. Cigarettes contain writings average time quitting is 50.42 months and picture health warnings on a cigarette average of 18.78 months to quit smoking. There is a significant difference in the average time a smoker stopped smoking after writing and picture health warnings. We conclude that text health warnings and picture health warnings on a cigarette can raise awareness to quit smoking.

Microstructural aspect of pineal body: pinealocytes population Gede Wirata; Putu Nia Calista Santoso; Putu Ayu Utami Dewantari
Intisari Sains Medis Vol. 9 No. 1 (2018): (Available online: 1 April 2018)
Publisher : DiscoverSys Inc.

Background:Â Pineal tissue was compound with 2 types of cell known as pinealocytes and astrocyte cell. Furthermore, microanatomical research of pineal body is a rare procedure conducted for several years even in Indonesia, and its anatomical aspect needs to be explained. Â Aim: enrich the scope of knowledge related to mammalian pineal within the pineal body. Methods: 3 Wistar rats (Rattus novergicus), especially their pineal tissue, was extracted by pinealectomy method as a histotechnical procedure in a laboratory setting was prepared. Result: Pinealocytes characteristic are basophilic, large, regularly nucleus and a lot of mitochondria. On the other side, astrocyte has longer cytoplasmic processus found around the perivascular area and among the pinealocytes one. Conclusion: The quantities of pinealocytes appear as a most dominant cell that fills the inner part of the pineal body and probable to synchronize the production of melatonin and entirely supported by their neighbor, astrocyte cells.Â Keywords: histotechnical method, pinealectomy, epiphysis

The accuracy of automated oscillometry compared to manual doppler in measuring ankle brachial index in suspected peripheral arterial disease patients: a systematic review Achmad Ismail Sampurna Putra
Intisari Sains Medis Vol. 9 No. 2 (2018): (Available online: 1 August 2018)
Publisher : DiscoverSys Inc.

Background: Golden standard to diagnose Peripheral Artery Disease (PAD) is angiography. A more common and practical alternative technique is by calculating Ankle Brachial Index (ABI) using Oscillometry as systolic blood pressure measurement. Though, its accuracy remains obscure.Methods: A systematic search was performed using PubMed and Google Scholar database.Â There were 11 articles were found after reviewed for the title and abstract by inclusion and exclusion criteria. However, only 6 articles were relevant and used by the authors.Results: Based on the six journals appraised, the sensitivity of automated oscillometry in detecting PAD (ABI <0.9) ranged from 0.4-0.7. The specificity, however, showed better result around 0.75-1. It shows that those patients who scored negative for PAD with oscillometry are not likely to have the disease. Automated oscillometry in studies appraised was also seen to have moderate positive and negative predictive value, which may indicate the possibility of this simpler diagnostic tool to be used to screen PAD. Most of the studies demonstrated good likelihood ratio for oscillometry, which even adds more power to oscillometry as a PAD diagnostic tool.Conclusion: Automated oscillometry was comparable with manual Doppler due to its high specificity. Several advantages were identified such as; oscillometry required less reliant on the specialized skills, commonly available, reliable, and simple to use which can be performed by primary care physicians even in their primitive set up. Thus, the oscillometric method can be utilized as an alternative in diagnosing patients suspected with PAD.

Overview of adherence and factors related to medication adherence in hypertensive patients at Puskesmas Tembuku 1 in 2017 Thivyaroobini Ramah; Komang Ayu Kartika Sari
Intisari Sains Medis Vol. 9 No. 1 (2018): (Available online: 1 April 2018)
Publisher : DiscoverSys Inc.

Background: Hypertension remains a public health issue in Indonesia as its prevalence increases considerably. Adherence to treatment is an important factor in the long-term health and well-being of hypertensive patients. Basic Health Research (Riskesdas) in 2007 reported that the prevalence of hypertension in the population aged over 18 years in Indonesia is as high as 31.7%, of which only 7.2% known that they had hypertension and only 0.4% took antihypertensive medications. Coverage of hypertension cases at Puskesmas Tembuku I in 2016 increased by 50% from the previous year, from 292 cases to 584 cases.Methods: The research was conducted in the coverage area of Tembuku I Community Health Center, Bangli Regency, in 2017. The descriptive cross-sectional method was used in this research. 81 respondents were chosen as research sample using non-probability consecutive sampling method. Primary data were collected through interviews on the research sample using questionnaire and Morisky Medication Adherence Scale (MMAS-8).Results: Most of the respondents had low medication adherence (96.3%), followed by moderate adherence (3.7%). None of the respondents had high medication adherence. Most of the respondents had low knowledge of hypertension (70.4%) and had sufficient access to healthcare facilities (71.6%). Most of the respondents reported high family support (93.8%), and high support from healthcare officials (71.6%). Most of the respondents (97.5%) reported high motivation.Conclusion: Low medication adherence and low knowledge regarding hypertension were observed, despite sufficient access to healthcare facilities, high family and healthcare officials support, and high motivation in hypertensive patients.

Association between educational level and hypertension with decrease of cognitive function among elderly at Puskesmas Mengwi I Vijay Ramachandran; Putu Aryani
Intisari Sains Medis Vol. 9 No. 1 (2018): (Available online: 1 April 2018)
Publisher : DiscoverSys Inc.

Background: One of most emerging disease in elderly is the decreasing of cognitive function. Some factors that could affect cognitive function are sociodemographic factors such as genetics, age, gender, educational level, occupation also some diseases like a cerebrovascular disease, metabolic disease, brain tumor, and head trauma.Methods: The purpose of this research was to understand the association between educational level and hypertension with a decrease of cognitive function in elderly. This research was analytic cross-sectional study. The number of samples that obtained was 41 elderly who met the inclusion criteria. The sample data obtained by filling an MMSE questionnaire to aces cognitive function.Results: In general, 16 from 41 sample (39%) has a decrease in cognitive function. Bivariate analytic with chi-square method showed that thereâ€™s a significant relationship between educational level and a decrease of cognitive function (p= 0.001) while also showed that thereâ€™s no significant relationship between hypertension and decrease of cognitive function.Conclusion: It can be concluded that there was a significant relationship between educational level and a decrease of cognitive function in elderly but no significant relationship between hypertension and decrease of cognitive function in elderly. The results of this study were expected to be used as a basis for further research in the future.

Prevalence of diabetic retinopathy among diabetes mellitus type 2 patients at Diabetes Center of Sanglah General Hospital, Bali Gopi Krishnan; AA Ngurah Subawa
Intisari Sains Medis Vol. 9 No. 1 (2018): (Available online: 1 April 2018)
Publisher : DiscoverSys Inc.

Background: Diabetic retinopathy is one of the most common microvascular complications of diabetes mellitus. A prevalence study could contribute in explaining the pattern and giving the perspective of how a community deals with diabetes and its complications.Methods: This study was conducted to determine the prevalence of diabetic retinopathy in patients with type 2 diabetes mellitus at the Diabetic Center of Sanglah General Hospital. This study used a descriptive cross-sectional study using secondary data from medical records of patients with diabetes mellitus type 2.Results: 1070 patients with type 2 diabetes mellitus obtained from January â€“ December 2014. 6.92% patients have suffered from retinopathy, and 93.08% have not suffered from retinopathy. Distributions of patients who suffered from retinopathy were mostly from the age group of 50-59 years old.Conclusion: Only 6.92 % of type 2 diabetes mellitus patients in Sanglah Hospital had suffered from the complication of diabetic retinopathy in the year 2014.Â

The compliance of hypertension patients in taking medication at Sukasada II Primary Health care from January - March 2016 Shobana Raveendran; Komang Ayu Kartika Sari
Intisari Sains Medis Vol. 9 No. 1 (2018): (Available online: 1 April 2018)
Publisher : DiscoverSys Inc.

Background: Hypertension is a chronic disease where the adherence to therapy should be given serious attention. Compliance behavior is to obey the doctor's advice or procedure from the doctor about the use of drugs which had been prescribed by a consultation process between the patient and the patient's family physician. The health providers were influenced by two factors: behavioral and non-behavior factors which determined or shaped by three main factors such as predisposing factors, enabling factors, and reinforcing factors. The aim of this study to assess the compliances of taking medication in hypertensive patients at the Sukasada II Buleleng primary health care.Method: It was a quantitative descriptive study. The respondents were all hypertension patients who come to the Sukasada II primary health care from the period of January to March 2016. Data were obtained through interviews and questionnaires distributed to respondents who met the inclusion criteria and exclusion. The univariate and bivariate analysis was conducted in this study.Results: The results of the research show the number of 84 sample contained 1 subjects with good adherence, 14 subjects with moderate adherence, and 69 subjects with less adherence. The cross tabulation showed that poor medication adherence in the elderly (90.9%), followed by male gender (84.1%), low education (82.7%), higher knowledge (85.0%), perception at close distance (85.7%), travel time â‰¥ 15 minutes (86.0%), route conditions (84.1), do not have access difficulties (83.9), good family support (82.9), the low role of health care (100%), and did not have any comorbidities (83.1%).Conclusion: The trend of hypertensive patients that are not taking medication mostly come from submissive to men, senior citizens, low educational level, and lesser role of healthcare personnel.

Sexual violence among females who reports to Sanglah Hospital from January 2014 until October 2015 Tharsini Raja; Ida Bagus Putu Alit
Intisari Sains Medis Vol. 9 No. 1 (2018): (Available online: 1 April 2018)
Publisher : DiscoverSys Inc.

Background: Sexual violence usually involving sexual intercourse or other forms of sexual penetration perpetrated against a person without that person's consent. Available data suggest that in some countries nearly one in four women may experience sexual violence by an intimate partner, and up to one-third of adolescent girls report their first sexual experience as being forced.Methods: This descriptive cross-sectional study was conducted at Forensic Department of Sanglah General Hospital, Denpasar, Bali between July 2015 â€“ November 2015.Â A total of 44 women who came to Sanglah General Hospital with complain of sexual violence between January 2014 â€“ October 2015 were involved in the study.Results: The highest incidence of sexual violence in women who reports to Sanglah General Hospital are within the age range of 20-29 years old (36%). The majority of sexual violence in this study were commited by someone known by the victim, namely victimâ€™s boyfriend (41%), followed by their husband (18%), ex-husband (5%) and second husband (5%). Â Most of the victims did not resist during the sexual violence (80%) and had history of previous sexual relationship (86%).Conclusion: Signs of vaginal penetration were found in all of the victims. Most of the victims reported painful intercourse as a result of the violence, and presented with stable emotional state.Â Â

Gambaran evaluasi tingkat nyeri pasien pasca operasi radang usus buntu dengan bedah terbuka dan laparoskopi di Rumah Sakit Umum Pusat Sanglah Denpasar tahun 2016 Dewa Ayu Wahyu Diantari; IGL Ngr Agung Artha Wiguna; I Wayan Niryana
Intisari Sains Medis Vol. 9 No. 2 (2018): (Available online: 1 August 2018)
Publisher : DiscoverSys Inc.

Radang pada usus buntu merupakan peradangan dari apendiks vermiformis. Pasien pasca operasi radang usus buntu yang ditangani dengan bedah terbuka atau laparoskopi akan merasakan suatu sensasi nyeri dari tindakan pembedahan yang dilakukan. Tujuan: Mengetahui gambaran evaluasi tingkat nyeri secara umum dan berdasarkan karakteristik data sampel. Metode: Penelitian ini menggunakan desain retrospektif observasional. Sampel ialah pasien pasca operasi radang usus buntu dengan bedah terbuka dan laparoskopi di Rumah Sakit Umum Pusat Sanglah Denpasar dari tahun 2016 dari hari pertama hingga hari ketiga pasca operasi. Pengambilan data menggunakan data sekunder, meliputi: skor VAS (visual analog scale) yang telah tertera pada rekam medis pasien. Tingkat nyeri dilihat dari hari pertama hingga hari ketiga pasien pasca operasi radang usus buntu dengan bedah terbuka dan laparoskopi. Hasil: Terdapat sebanyak 44 orang pasien bedah terbuka memberikan gambaran tingkat nyeri yang terdata pada hari pertama 75% nyeri ringan dan 25% nyeri sedang, hari kedua 2,3% tanpa nyeri, 86,4% nyeri sedang, dan 11,4 nyeri berat, serta pada hari ketiga 9,1% tanpa nyeri, 88,6 nyeri ringan, 2,3% nyeri sedang. Terdapat pula 6 orang pasien dengan laparoskopi yang terdata pada hari pertama 50% tanpa nyeri danÂ 50% nyeri ringan, pada hari kedua 66,7% tanpa nyeri dan 33,3% nyeri ringan, serta pada hari ketiga 83,3% tanpa nyeri dan 16,7% nyeri ringan. Simpulan: Gambaran evaluasi tingkat nyeri pasien pasca operasi radang usus buntu dengan bedah terbuka adalah nyeri ringan, sedangkan untuk laparoskopi adalah tanpa nyeri.Â

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